[A stabilizing plastic repair method for reconstruction in extensive complete defects of the chest wall].
Experience is recorded with the application of a new operative method for combined plastic-stabilizing reconstruction of the thoracic wall in complete defects larger than 8-10/10 cm (greater than 80 cm2). The method consists of covering in layers the defect with Ampoxen, auto-rib and skin-muscle flap. Nine patients were operated: 2 with recurrent tumors of the mammary gland, 2 with metastatic thoracic wall tumors, 2 with osteoradionecrosis. 2 with osteomyelitis of 3-4 ribs and 1 with wide communicating bronchopleurocutaneous fistulas. The advantages of the method are pointed out: permanent stabilization of the thoracic wall, provision of optimal biological terrain for postoperative radiotherapy, applicability in purulent-necrotic defects. The method is described in detail, as well as the results in the operated patients for a period from 1 to 4 years.
Chalŭkov
P
P
Vasilev
B
B
D001943:Breast Neoplasms / Q000601:surgery; D001983:Bronchial Fistula / Q000601:surgery; D002209:Caprolactam / Q000031:analogs & derivatives / Q000627:therapeutic use; D005260:Female; D006801:Humans; D010019:Osteomyelitis / Q000601:surgery; D010025:Osteoradionecrosis / Q000601:surgery; D010995:Pleural Diseases / Q000601:surgery; D011108:Polymers / Q000627:therapeutic use; D012272:Ribs / Q000601:surgery; D012871:Skin Diseases / Q000601:surgery; D013526:Surgical Mesh; D013896:Thoracic Diseases / Q000601:surgery; D013899:Thoracic Neoplasms / Q000556:secondary / Q000601:surgery; D013903:Thoracic Surgery / Q000379:methods*
D011108:Polymers; C009916:nylon 6; D002209:Caprolactam
Plastichno-stabilizirasht metod za rekonstruktsiia pri obshirni pŭlni defekti na grŭdnata stena.